Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor
To the Editor: The Research Letter by Teno
and colleagues1 on persistent pain in nursing
home residents used data from the Minimum Data Set (MDS), a nationally mandated
nursing home resident assessment instrument, and determined that large numbers
of nursing home residents lack pain relief.
In December 2000, the Inspector General (IG) of the US Department of
Health and Human Services issued a report2
in which the IG determined that there were "apparently differences in nursing
home staffs' understanding of the MDS and the resident assessment process.''
The IG recommended that the Health Care Financing Administration "more clearly
define MDS elements" and "work with the nursing home industry to provide enhanced
and coordinated training to nursing homes to be sure that similar and accurate
information about the MDS is being disseminated."2(p15)
Brown RC. Persistent Pain in Nursing Home Residents. JAMA. 2001;286(7):788. doi:10.1001/jama.286.7.788